Individual
DR. ABDUL WALI BAYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14435 HAMLIN ST STE 104, VAN NUYS, CA 91401-6205
(818) 781-0004
(818) 787-0035
Mailing address
14435 HAMLIN ST STE 104, VAN NUYS, CA 91401-6205
(818) 781-0004
(818) 787-0035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49469
CA
Other
Enumeration date
07/30/2006
Last updated
04/24/2009
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